THE “NO FRILLS” SLIDESHOW about NC MFP MFP Learning Series Kick Off April 11, 2011

1. THE “NO FRILLS” SLIDESHOW about NC MFP MFP Learning Series Kick Off April 11, 2011

2. Welcome! • Purpose of MFP Transition Learning Series: to inform those folks who assist or support transitions about MFP and about state resources available to help with the transition process. • Brand new---we’re trying out this format! Thank you for being guinea pigs and giving feedback! • Dates: 2nd Monday of every month from 2:00-4:00

3. What is MFP? A beautifully simple concept…. An opportunity to support people to transition into their homes and communities.

5. MFP: 2 Primary Purposes • Support the transition process • Systems change: • Increase Home and Community Based Services • Eliminate Barriers • Continued Provision of Services • Quality Improvement If we only support people to transition, we’re only doing half our job.

6. A Quick History Lesson • A Public Initiative and a Community Effort • 2005: MFP legislation • 2006: NC application • 2007: NC award • 2008: Protocol Approved • 2009: Transition services begin • To date, 85 individuals have transitioned under MFP.

7. MFP – Individual Level The MFP Demonstration Project willtransition qualified individuals from qualified inpatient facilities to qualified residences in the community. What does this mean?

8. MFP – Individual Level “Qualified Individual” • Currently track three population groups: people with physical disabilities, people with I/DD and older adults. • Currently resides and has resided for at least three months in an inpatient facility (nursing facility, developmental center, ICF/MR, hospital) • Is receiving Medicaid benefits for inpatient services furnished by the inpatient facility, and • Continues to require the level of care provided by the inpatient facility.

9. MFP – Individual Level Qualified facilities include: • Nursing facilities • Developmental Disability Centers (State Operated Centers) • Intermediate Care Facilities for Persons with Mental Retardation (ICFs/MR) • Acute Care Facilities • NOT Assisted Living Facilities

10. MFP – Individual Level Qualified residences in the community include: • A home owned or leased by the individual or the individual’s family member, • An apartment with an individual lease, with lockable access and egress, and that includes living, sleeping, bathing, and cooking areas over which the individual or the individual’s family has domain and control, and • A residence in a community-based setting in which no more than four unrelated individuals reside.

11. NC MFP’s Benefits to the Individual… • CAP slot or PACE participation • Project pays for first year, becomes regular CAP slot afterwards. • Start up funding to assist in transitions • Broadly construed: furniture, ramps, services (like therapeutic consultation, staff training, etc.) • Additional case management • Transition coordination support

13. Important Changes under ACA • Eligibility requirements for participation in MFP have been reduced from 6 months in a facility to 3 months (Medicare parameters exist). • Project funding available through 2016, to be used for services through 2019. • Additional funding opportunities.

14. Our Benchmarks andTransitions To Date .

15. Some of our Priorities for 2011 • Continue strengthening our transition practices and administrative systems. • Data collection • Developing our state’s rebalancing fund strategy. • Support implementation of MDS 3.0 Section Q/LCA function. • Family to Family conversations/support • Emerging priority: supporting individuals to transition who do not require CAP-level services.

16. How Do MFP and MDS 3.0 Work Together? • MDS 3.0—assessment tool used by nursing facilities to help determine resident’s support needs, wishes and facility reimbursement rates. • Federal requirement: If resident indicates interest in returning to community, facility must follow up with a referral to the Local Contact Agency, who provides information about community options to resident. • MFP providing funding to local agencies serving as the “LCA.” • MFP not authority on MDS 3.0 • A facility, resident, Ombudsman ,etc. can submit an MFP application directly to MFP.

17. How to Submit an Application

18. NC MFP Application Information • Application forms available at: www.mfp.ncdhhs.gov • Anyone can submit an application. • Applications takes about a week to process, longer if information not complete. • Submit to MFP Administrative Coordinator at: • Diane.upshaw@dhhs.nc.gov • Fax: 919-715-4159 • Really helpful information from facilities: • Current FL-2 status • Medicare Rehab Days

19. MFP Application Form

20. MFP Transition Work • Collective Effort—working to play to everyone’s strengths. • Stakeholders, evidence: case managers are critical to process. • NC MFP Demonstration Service: Transition Coordination. Identified CAP-DA and CAP MR/DD Case Managers can be trained and serve as transition coordinators. • Reimbursement: $2,000.00 per transition.

21. DVR/MFP Transition Partnership • Folks with physical disabilities often need more transition support (housing, etc.) than others. • DVR/MFP funded three transition coordinators to coordinate the transition process for individuals with physical disabilities.

22. The MFP Transition Process • Every transition is unique, facing different issues and different circumstances. • Transitions can take a few weeks to several months. • Not everyone transitions • Transitions are collaborative between MFP transition coordinators, participants, supports and facilities. • Often people working together for the first time. • Person guides process.

23. NC MFP Transition Process

24. Some of the Challenges Observed • Community resources unable to meet participant’s needs. • Lack of affordable accessible housing • Deductible status • Lack of family support/caregiver fatigue • But despite this….

25. What’s Working… • Kiddos are being reunited with their families. • Brothers and sisters are reconnecting. • Senior parents are coming home. • Folks without any families are moving in with long-term staff. • People are getting pets! • Preliminary Quality of Life survey findings are strong. • Collaboration is happening!

26. Would you like additional information? Join the MFP Roundtable! Visit our website: www.mfp.ncdhhs.gov Take a look at our Operational Protocols Give us a call: 855-761-9030

27. MFP Transition Learning Series: Upcoming Topics • May 9, 2011, 2:00-4:00: Housing Resources • Future Learning Sessions: • Understanding Olmstead • Using Adaptive Technology to Support Independence • Supporting Families • Peer Support/Self-Advocacy • Self Direction • What are the CRCs? • Supporting medical needs in the community: CCNC and others • “Deductible 101” • Others that can’t fit on the page!

28. Other Save the Dates • NC MFP Roundtable, Friday May 13, 2011 • Fayetteville • 10-3:30 • Continued discussion of Rebalancing Strategies • Learning from others who are “further down the MFP trail:” • Video conference with MFP Project Directors from TX, OH, CT.

29. Thank You • Survey • Did you learn anything new about MFP? • What other topics would be useful to cover through the MFP Learning Series? • Was this format “user friendly?”